There is one case wherein it is believed that the virus was sexually transmitted from man who just came back to the states after being in an endemic area and his wife. Apparently they had unprotected sex and shortly thereafter, the wife became symptomatic of the disease.

The mother of my son’s friend had one on her scalp after a trip to Belize several years ago. ( I was lucky enough to be the pathologist who dissected it and diagnosed it!). My son, who already refused to go to Australia and the Pacific Ocean because of poisonous animals/tropical infections then crossed Belize off the…